Wolgamott, Susan Tracy

Wolgamott, Susan Tracy is an individual health care provider with primary practice located at 10 W Square Lake Rd Ste 200 , Bloomfield Township MI 48302-0467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wolgamott, Susan Tracy can be contacted via phone (248) 221-1845.

Contact Information

Primary practice address
10 W Square Lake Rd Ste 200 Bloomfield Township MI 48302-0467
Fax: (833) 645-2176
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704191164 Michigan

Profile Details

NPI number 1760894638
LBN Legal business name Wolgamott, Susan Tracy
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated Dec 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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